Wrinkling Test: Difference between revisions

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有很多视频展示了起皱test are available on web from which i found this one to be useful and it exactly demonstrates how to do the test and shows the normal and clearly shows positive and negative sign.

//www.</del>youtube<del class="diffchange diffchange-inline">.com/embed/</del>GIuVr9OgT_M<del class="diffchange diffchange-inline">?start</del>=<del class="diffchange diffchange-inline">6049" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe</del><ref>Dr thomas McClellan In the Clinic: Fingertip Skin Wrinkling in Water and Digital Denervation Available from: https://www.youtube.com/watch?v=GIuVr9OgT_M </ref></div></td> <td class="diff-marker" data-marker="+"></td> <td class="diff-addedline diff-side-added"> <div> <ins class="diffchange diffchange-inline">{{#ev</ins>:youtube<ins class="diffchange diffchange-inline">|</ins>GIuVr9OgT_M<ins class="diffchange diffchange-inline">}time</ins>=<ins class="diffchange diffchange-inline">00:49}</ins><ref>Dr thomas McClellan In the Clinic: Fingertip Skin Wrinkling in Water and Digital Denervation Available from: https://www.youtube.com/watch?v=GIuVr9OgT_M </ref></div></td> </tr> <tr> <td class="diff-marker"></td> <td class="diff-context diff-side-deleted"><br></td> <td class="diff-marker"></td> <td class="diff-context diff-side-added"><br></td> </tr> <tr> <td class="diff-marker"></td> <td class="diff-context diff-side-deleted"> <div> == References ==</div></td> <td class="diff-marker"></td> <td class="diff-context diff-side-added"> <div> == References ==</div></td> </tr> <tr> <td class="diff-marker"></td> <td class="diff-context diff-side-deleted"><br></td> <td class="diff-marker"></td> <td class="diff-context diff-side-added"><br></td> </tr> <tr> <td class="diff-marker"></td> <td class="diff-context diff-side-deleted"> <div> <references /></div></td> <td class="diff-marker"></td> <td class="diff-context diff-side-added"> <div> <references /></div></td> </tr> </tbody> </table> <hr class="diff-hr" id="mw-oldid"> <h2 class="diff-currentversion-title">Revision as of 08:32, 26 November 2022</h2> <div class="mw-parser-output"> <div class="mw-parser-output"> <div class="editorbox"> <b>Original Editor</b>-<a href="//m.houseofhawgs.com/User:User_Name" title="Ehtisham Panhwar">Ehtisham Panhwar</a> <br> <b>Top Contributors</b>-<a href="//m.houseofhawgs.com/User:Ehtisham_Panhwar" class="mw-userlink" title=""><bdi>Ehtisham Panhwar</bdi></a>and<a href="//m.houseofhawgs.com/User:Kirenga_Bamurange_Liliane" class="mw-userlink" title=""><bdi>Kirenga Bamurange Liliane</bdi></a> </div> <div id="toc" class="toc" role="navigation" aria-labelledby="mw-toc-heading"> <input type="checkbox" role="button" id="toctogglecheckbox" class="toctogglecheckbox" style="display:none"> <div class="toctitle" lang="en" dir="ltr"> <h2 id="mw-toc-heading">Contents</h2> <span class="toctogglespan"><label class="toctogglelabel" for="toctogglecheckbox"></label></span> </div> <ul> <li class="toclevel-1 tocsection-1"><a href="#Purpose"><span class="tocnumber">1</span><span class="toctext">Purpose</span></a></li> <li class="toclevel-1 tocsection-2"><a href="#Technique"><span class="tocnumber">2</span><span class="toctext">Technique</span></a></li> <li class="toclevel-1 tocsection-3"><a href="#Evidence"><span class="tocnumber">3</span><span class="toctext">Evidence</span></a></li> <li class="toclevel-1 tocsection-4"><a href="#Resources"><span class="tocnumber">4</span><span class="toctext">Resources</span></a></li> <li class="toclevel-1 tocsection-5"><a href="#References"><span class="tocnumber">5</span><span class="toctext">References</span></a></li> </ul> </div> <h2><span class="mw-headline" id="Purpose">Purpose<br></span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&veaction=edit&section=1" class="mw-editsection-visualeditor" title="edit">edit</a><span class="mw-editsection-divider">|</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&action=edit&section=1" title="edit source">edit source</a><span class="mw-editsection-bracket">]</span></span></h2> <p>Wrinkle or wrinkling or shivel test is a special test for hands. Wrinkle test is used to check the nerve integrity of the hand by assessing the proper nervous response to an environmental stimulus i.e, water immersion for sustained period of time. Wrinkle test is used to diagnose a nerve injury or a digital denervation.</p> <p><br></p> <h2><span class="mw-headline" id="Technique">Technique<br></span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&veaction=edit&section=2" class="mw-editsection-visualeditor" title="edit">edit</a><span class="mw-editsection-divider">|</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&action=edit&section=2" title="edit source">edit source</a><span class="mw-editsection-bracket">]</span></span></h2> <ul> <li>Patient should be in sitting position</li> <li>Take warm water in a bowel</li> <li>Immerse patients affected or testing hand in the bucket</li> <li>Keep it immersed for around 10-30 minutes</li> <li>Take the hand out and look for wrinkles in hand</li> <li>A positive sign is not having wrinkle in any digit of the hand.</li> </ul> <h2><span class="mw-headline" id="Evidence">Evidence</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&veaction=edit&section=3" class="mw-editsection-visualeditor" title="edit">edit</a><span class="mw-editsection-divider">|</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&action=edit&section=3" title="edit source">edit source</a><span class="mw-editsection-bracket">]</span></span></h2> <p>In a study conducted by Rubin et al they mention that wrinkle test have a sensitivity of 69.5%, specificity of 62.5% with a confidence interval of 95% in diagnosing the digital nerve injury.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1">[1]</a></sup></p> <p>The journal of hand therapy explains the significance that it is quite helpful to denervation in an infant or a young child who have not yet developed enough skill to be able to understand the instructions of other examination.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2">［2］</a></sup>Wrinkle test do not require much cognitive understanding.</p> <p>A research by Kava et al University of Texas at Austin is used to investigate the sympathetic nervous system integrity of the hand.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3">[3]</a></sup></p> <h2><span class="mw-headline" id="Resources">Resources</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&veaction=edit&section=4" class="mw-editsection-visualeditor" title="edit">edit</a><span class="mw-editsection-divider">|</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&action=edit&section=4" title="edit source">edit source</a><span class="mw-editsection-bracket">]</span></span></h2> <p>有很多视频展示了起皱test are available on web from which i found this one to be useful and it exactly demonstrates how to do the test and shows the normal and clearly shows positive and negative sign. {{#ev:youtube|GIuVr9OgT_M}time=00:49}<sup id="cite_ref-4" class="reference"><a href="#cite_note-4">[4]</a></sup></p> <h2><span class="mw-headline" id="References">References</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&veaction=edit&section=5" class="mw-editsection-visualeditor" title="edit">edit</a><span class="mw-editsection-divider">|</span><a href="//m.houseofhawgs.com/index.php?title=Wrinkling_Test&action=edit&section=5" title="edit source">edit source</a><span class="mw-editsection-bracket">]</span></span></h2> <div class="mw-references-wrap"> <ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><a href="#cite_ref-1">↑</a></span><span class="reference-text">Rubin G, Orbach H, Rinat B, Shay R, Rozen N.<a rel="nofollow" class="external text" href="https://journals.lww.com/annalsplasticsurgery/Fulltext/2020/01000/The_Utility_of_Diagnostic_Tests_for_Digital_Nerve.12.aspx?casa_token=P85C22KHwb0AAAAA:0BRyzt7P-X7wlPJF5zwTXBOY8P29BByuQ-wdT8eKazb9M0QJtEymXQ3vunxMNZQnbwZn4ZwiLF4S6eQiWEn03A">The utility of diagnostic tests for digital nerve injury</a>. Annals of Plastic Surgery. 2020 Jan 1;84(1):73-5.</span></li> <li id="cite_note-2"><span class="mw-cite-backlink"><a href="#cite_ref-2">↑</a></span><span class="reference-text">Packham T, Ahmad A, Huxtable M, Jacob N, Schutten D, Gjertsen D, DeMatteo C, MacDermid JC, Bain J.<a rel="nofollow" class="external text" href="https://www.jhandtherapy.org/article/S0894-1130(19)30294-7/fulltext">Skin Temperature Asymmetry and Stimulated Skin Wrinkling: Reliability and Validity for Evaluating Obstetrical Brachial Plexus Injuries.</a>Journal of Hand Therapy. 2019 Oct 1;32(4):550.</span></li> <li id="cite_note-3"><span class="mw-cite-backlink"><a href="#cite_ref-3">↑</a></span><span class="reference-text">Kava JL.<i><a rel="nofollow" class="external text" href="https://repositories.lib.utexas.edu/handle/2152/89199">Water immersion skin wrinkling: modulatory influences of age, sex, body mass index,</a>and physical activity status</i>(Doctoral dissertation).</span></li> <li id="cite_note-4"><span class="mw-cite-backlink"><a href="#cite_ref-4">↑</a></span><span class="reference-text">Dr thomas McClellan In the Clinic: Fingertip Skin Wrinkling in Water and Digital Denervation Available from:<a rel="nofollow" class="external free" href="https://www.youtube.com/watch?v=GIuVr9OgT_M">https://www.youtube.com/watch?v=GIuVr9OgT_M</a></span></li> </ol> </div> </div> </div> </div> <div class="printfooter"> Retrieved from "<a dir="ltr" href="http:/index.php?title=Wrinkling_Test&oldid=321655">http:///index.php?title=Wrinkling_Test&oldid=321655</a>"</div>    </div>  <div id="catlinks" class="catlinks catlinks-allhidden" data-mw="interface"></div>  </div> </div> </div> </div>  </div>    <div class="hidden-print"> <div class="block pp-footer-subscribe p-x" data-link=""> <div class="container"> <div class="row app-align-center"> <div class="col-md-offset-2 col-md-8 col-sm-offset-1 col-sm-10"> <p>Get Top Tips Tuesday and The Latest Physiopedia updates</p> <div id="mc_embed_signup"> <form action="https://newsletter.physio-pedia.com/sendy/subscribe" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll" class="row"> <div class="col-sm-8"> <div class="mc-field-group"> <label for="physiopedia_email" class="sr-only">Email Address</label> <input type="email" value="" name="email" class=" email form-control" id="physiopedia_email" placeholder="Enter your email address"> </div> </div> <div class="col-sm-4"> <div class="clear"> <div class="hidden"> <div class="checkbox"> <label><input type="checkbox" name="gdpr" id="physiopedia_gdpr" checked><span>I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing.</span></label> </div> <label for="hp">惠普</label> <br> <input type="text" name="hp" id="physiopedia_hp"> </div> <input type="hidden" name="list" value="FQbJb2MHhbphrw8c1mceAQ"> <input type="hidden" name="subform" value="yes"> <button type="submit" class="btn btn-default btn-rollover-fade" name="subscribe" id="ppm_sendy_physiopedia_list_submit">Yes please<i class="fa fa-chevron-right" aria-hidden="true"></i></button> </div> </div> </div> </form> </div> </div> </div> </div> </div>  <div class="block pp-footer-our-partners" data-link="https://physio-pedia.com/Partners"> <div class="container"> <div class="row"> <div class="col-md-12"> <h4 class="m-y">Our Partners</h4> </div> </div> <div class="row"> <div class="col-md-12"> <div id="carousel-partners" class="carousel slide" data-ride="carousel" data-interval="5000">  <div class="carousel-inner" role="listbox"> <div class="item active"> <div class="container"> <div class="row"> <div class="col-sm-12 text-center m-y"> <span class="footer-partner-logo"><img src="//m.houseofhawgs.com/home/assets/partner-logos/world-physiotherapy-logo.png" alt="World Physiotherapy"></span> <span class="footer-partner-logo"><img src="//m.houseofhawgs.com/home/assets/partner-logos/ICRC-logo.png" alt="ICRC"></span> <span class="footer-partner-logo"><img src="//m.houseofhawgs.com/home/assets/partner-logos/clinically-relevant-logo.png" alt="Clinically Relevant"></span> <span class="footer-partner-logo"><img src="//m.houseofhawgs.com/images/thumb/4/4c/Humanity-Inclusion.png/150px-Humanity-Inclusion.png" alt="人类和包容"></span> <span class="footer-partner-logo"><img src="//m.houseofhawgs.com/home/assets/partner-logos/hvo-logo2.png" alt="Health Volunteers Overseas"></span> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>   <div class="block pp-footer-disclaimer"> <div class="container"> <div class="row"> <div class="col-sm-10 col-sm-offset-1"> <p>The content on or accessible through Physiopedia is for informational purposes only. 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